Device and method to expand treatment array

• US 6,881,213 B2
• Filed: 10/23/2002
• Issued: 04/19/2005
• Est. Priority Date: 06/28/2002
• Status: Active Grant

• Current Assignee: Ethicon Incorporated (Johnson & Johnson)
• Original Assignee: Ethicon Incorporated (Johnson & Johnson)
• Inventors: Yuan, David Y., Simpson, Roddi J., Ryan, Thomas P., Ciarrocca, Scott A., Sinton, Alexander J.
• Primary Examiner(s): GIBSON, ROY DEAN
• Application Number:
  US10/278,235
• Publication Number:
  US 20040002748A1
• Time in Patent Office: 909 Days
• Field of Search: 606 41- 50, 607/96, 607/101, 607/102
• US Class Current: 606/41
• CPC Class Codes: A61B 18/1477 Needle-like probes
• CPC Class Codes: A61B 18/1482 having a long rigid shaft for accessing the inner body transcutaneously in minimal invasive surgery, e.g. laparoscopy
• CPC Class Codes: A61B 2018/00214 Expandable means emitting energy, e.g. by elements carried thereon
• CPC Class Codes: A61B 2018/0022 Balloons
• CPC Class Codes: A61B 2018/143 multiple needles

Abstract

A medical device is provided and includes an elongated tube that has a longitudinal axis and an expandable member attached to the tube. The expandable member is expandable from a collapsed configuration to an expanded configuration. A plurality of electrodes is attached to the expandable member. The electrodes are used to emit energy. Each of the electrodes is arranged generally coaxially relative to the tube when the expandable member is in its collapsed and expanded configurations.

Claims

1. A medical device used for thermal treatment of tissue, comprising an elongated probe sheath having a longitudinal axis;

an expandable member attached to said elongated probe sheath, said expandable member being expandable from a collapsed configuration to an expanded configuration; and

a plurality of energy-emitting electrodes attached to said expandable member such that each of said electrodes is arranged generally coaxially relative to said probe sheath when said expandable member is in its said collapsed and expanded configurations, said expandable member including a plurality of arms, each of said arms being expandable between a collapsed configuration and an expanded configuration, said probe sheath including a plurality of inwardly tapered sides in cooperation with said arms, and said probe sheath being movable between a retracted position and an extended position.

2. The medical device of claim 1, further comprising a sleeve sized and shaped so as to receive said probe sheath and said expandable member when said expandable member is in its said collapsed configuration.

3. The medical device of claim 2, wherein each of said electrodes moves radially outward from said probe sheath as said expandable member moves from its said collapsed configuration to its said expanded configuration.

4. The medical device of claim 3, wherein said electrodes are in close proximity to each other when said expandable member is in its said collapsed configuration and wherein said electrodes are spaced apart from each other when said expandable member is in its said expanded configuration.

5. The medical device of claim 4, wherein said probe sheath extends completely through said expandable member, whereby said expandable member is positioned along an intermediate length of said probe sheath.

6. The medical device of claim 5, wherein each of said electrodes has a generally linear shape.

7. The medical device of claim 6, wherein said probe sheath is movable between a retracted position, in which said probe sheath retracts into said sleeve, and an extended position, in which said probe sheath extends axially outward from said sheath.

8. The medical device of claim 7, wherein said tube includes a plurality of channels, at least one of said channels being sized and shaped so as to allow a fluid to pass therethrough.

9. The medical device of claim 8, wherein said expandable member is expandable to its said expanded configuration when a fluid is passed through said at least one of said channels.

10. The medical device of claim 9, wherein said expandable member is collapsible to its said collapsed configuration when a vacuum is supplied to said expandable member through at least another of said channels.

11. The medical device of claim 10, further comprising a plurality of wire leads connected to said electrodes.

12. The medical device of claim 11, wherein at least another of said channels is sized and shaped to allow said wire leads to pass therethrough.

13. The medical device of claim 12, wherein said expandable member is a balloon member.

14. The medical device of claim 13, wherein said electrodes emit RF energy.

15. The medical device of claim 14, wherein said balloon member is substantially cylindrically-shaped when it is in its said expanded configuration.

16. The medical device of claim 15, wherein said electrodes surround said tube when said balloon member is in its expanded configuration.

17. The medical device of claim 16, wherein said expandable member is attached to said tube by a solvent-based glue.

21. The medical device of claim 1, wherein each of said arms moves toward its said expanded configuration as said probe sheath moves from its said extended position to its said retracted position.

22. The medical device of claim 21, further comprising an elongated sleeve coaxially received over said probe sheath, said sleeve being movable between a retracted position and an extended position.

23. The medical device of claim 22, wherein each of said arms moves toward its said collapsed configuration as said sleeve moves from its said retracted position to its said extended position.

24. The medical device of claim 23, wherein the polarity of said electrodes can be selectively varied.

18. A method for performing thermal treatment of tissue using a medical device which includes a probe sheath having a plurality of inwardly tapered sides, an expandable member including a plurality of arms, the expandable member attached to the tube and expandable from a collapsed configuration to an expanded configuration, and a plurality of electrodes attached to the expandable member, said method comprising the steps of:

(a) inserting the medical device within a tissue area with the expandable member in its collapsed configuration, in which the electrodes are in close proximity to each other and in which all of the electrodes are arranged generally coaxially relative to the probe sheath; and

(b) moving the arms relative to the inwardly tapered sides of the probe sheath so as to expand the expandable member so that it assumes its expanded configuration, in which the electrodes are spaced apart from each other and in which all of the electrodes are arranged generally coaxially relative to the probe sheath.

19. The method of claim 18, wherein the method is used in a laparoscopic application.

20. The method of claim 18, wherein the method is used in a percutaneous application.

25. A medical device used for thermal treatment of tissue, comprising an elongated probe sheath having a longitudinal axis;

an expandable member attached to said elongated probe sheath, said expandable member being expandable from a collapsed configuration to an expanded configuration; and

a plurality of energy-emitting electrodes attached to said expandable member such that each of said electrodes is arranged generally coaxially relative to said probe sheath when said expandable member is in its said collapsed and expanded configurations, said expandable member including a plurality of arms, each of said arms being expandable between a collapsed configuration and an expanded configuration, said arms including a plurality of members connected to said electrodes, each of said members movable relative to said electrodes.